안면상완근긴장발작으로 발현한 항LGI1항체 자가면역뇌염
Anti-LGI1 Antibody Autoimmune Encephalitis Which Manifests Faciobrachial Dystonic Seizure
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초록
Anti-LGI1 (leucine-rich glioma inactivated-1) antibody encephalitis is one of autoimmune encephalitis. We report a66-year-old man who presented with frequent, brief dystonic seizures which involve predominantly ipsilateral face andarm without cognitive impairment. Brain MRI showed normal finding. Serum and CSF tests revealed anti-LGI1antibody. His symptom was not relieved by antiepileptic drugs, but completely controlled after immunotherapy. Thiscase indicates that recognition of the brief, dystonic seizures should do tests for anti-LGI1 antibodies.
Abstract
Anti-LGI1 (leucine-rich glioma inactivated-1) antibody encephalitis is one of autoimmune encephalitis. We report a66-year-old man who presented with frequent, brief dystonic seizures which involve predominantly ipsilateral face andarm without cognitive impairment. Brain MRI showed normal finding. Serum and CSF tests revealed anti-LGI1antibody. His symptom was not relieved by antiepileptic drugs, but completely controlled after immunotherapy. Thiscase indicates that recognition of the brief, dystonic seizures should do tests for anti-LGI1 antibodies.
참고문헌 (10)
- Vincent A, "Potassium channel antibody-associated encephalopathy: a potentially immunotherapy-responsive form of limbic encephalitis", Brain, 127, pp.701~712 (2004)
- Thieben MJ, "Potentially reversible autoimmune limbic encephalitis with neuronal potassium channel antibody", Neurology, 62, pp.1177~1182 (2004)
- Lai M, "Investigation of LGI1 as the antigen in limbic encephalitis previously attributed to potassium channels: a case series", Lancet Neurol, 9, pp.776~785 (2010)
- Irani SR, "Faciobrachial dystonic seizures precede LGI1 antibody limbic encephalitis", Ann Neurol, 69, pp.892~900 (2011)
- Rosenfeld MR, "Paraneoplastic disorders of the CNS and autoimmune synaptic encephalitis", Continuum, 18, pp.366~383 (2012)
- Lancaster E, "Encephalitis and antibodies to synaptic and neuronal cell surface proteins", Neurology, 77, pp.179~189 (2011)
- Striano P, "Faciobrachial dystonic attacks: seizures or movement disorder?", Ann Neurol, 70, pp.179~180 (2011)
- Chabrol E, "Electroclinical characterization of epileptic seizure in leucine-rich, glioma-inactivated 1-deficient mice", Brain, 133, pp.2749~2762 (2010)
- Berkovic SF, "LGI1 mutations in temporal lobe epilepsies", Neurology, 62, pp.1115~1119 (2004)
- Kamaleshwaran KK, "18F-FDG PET", CT Findings in voltage-gated potassium channel limbic encephalitis, 2013, pp.38, 392~394
